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1994-08-09
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Document 0186
DOCN M9480186
TI HIV risk behavior and medical status of underprivileged youths in Belo
Horizonte, Brazil.
DT 9410
AU Pinto JA; Ruff AJ; Paiva JV; Antunes CM; Adams IK; Halsey NA; Greco DB;
Service of Parasitic and Infectious Diseases, School of Medicine,;
Federal University of Minas Gerais, Belo Horizonte, Brazil.
SO J Adolesc Health. 1994 Mar;15(2):179-85. Unique Identifier : AIDSLINE
MED/94289448
AB METHODS: From June 1989 to April 1991, 394 adolescents aged 10-18 years
randomly selected upon admission at a state shelter in Belo Horizonte,
Brazil underwent health history interview, physical examination,
serology for HIV, hepatitis B, and syphilis, and stool examination.
Participants were classified as street-based youths (n = 195) or
home-based youths (n = 199). The age distribution was similar in both
groups, although males were overrepresented among street-based youths
(79.5% versus 62.3%). RESULTS: Compared with home-based youths,
street-based youths reported earlier onset (p = 0.009) and higher rates
of sexual activity (odds ratio [OR], 2.1; 95% confidence interval [CI],
1.4-3.3), sexual abuse (OR, 3.7; 95% CI, 1.2-10.1), and sexually
transmitted diseases (OR, 2.9; 95% CI, 1.3-6.6). Overall condom use was
low in both groups. Street-based youths were 7.8 times more likely to
use drugs than home-based youths (95% CI, 4.9-12.7). Inhalants and
marijuana were the more commonly used drugs. Intravenous drug use was
low. CONCLUSIONS: Although chronic malnutrition and multiple parasitosis
were common findings in both groups, street-based youths were more
likely to present disorders related to trauma and poor hygienic
conditions. Antibodies to HIV were detected in four (2%) street-based
youths and in none of the home-based youths. This study confirms that
street youths are at higher risk for HIV infection than their home-based
peers and indicates a need for HIV prevention programs targeting this
population.
DE Adolescence *Adolescent Behavior Age Distribution Brazil/EPIDEMIOLOGY
Child Comparative Study Confidence Intervals Female *Health Behavior
Health Services Needs and Demand *Health Status Health Surveys
*Homeless Persons Human HIV Infections/*EPIDEMIOLOGY/PREVENTION &
CONTROL/TRANSMISSION Male Morbidity Odds Ratio *Poverty Risk
Factors *Risk-Taking Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).